CTICasesExtrapleural Hematoma
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Imaging findings
Following endovascular aortic aneurysm repair, the patient developed a large, displaced extrapleural hematoma. The imaging clearly showed the hematoma tracking extrapleurally along the chest wall, displacing the lung apex, which distinguishes it from an intrathoracic hemothorax.
Key takeaways
Large hematomas post-aortic repair can occur in the extrapleural space. Radiologists should be able to distinguish this from a true hemothorax by observing the displacement of extrapleural fat and the anatomy of the collection.
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